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College of Radiologic Technology


Survey Questionnaire
Dear Respondents,
The undersigned researchers are presently conducted, entitled “QUALITY OF LIFE OF
RADIOLOGIC TECHNOLOGIST BEFORE AND DURING THE COVID-19 PANDEMIC”.
The researchers are seeking for cooperation through answering this survey.

Rest assured that your responses are treated with utmost confidentiality.

I. Demographic Profile

A. Age : 20 - 25 36- 40

26 - 30 41 - 45

31- 35 46 and above

B. Gender : Male Female

C. Civil Status : Single Married

Separated Widow/Widower

D. Length of Service: 1 - 3 years 10-12 years

4 - 6 years 13-15 years

7 - 9 years 16 years & up

E. Salary (Per Month) : P 15,000 and below


P 15,000 – P 25,000
P 25,000 and above
II. This part of the questionnaire tackles about the Quality of Life of Radiologic Technologist
before the rise of COVID-19 pandemic. Check the following box that correspond your answer.

4 – Always 3 – Most of the Time

2 – Sometimes 1 – Never

In terms of Physical Health. I…..


4 3 2 1

1. Feel physically exhausted

2. Have a daily exercise routine

3. Often experience headache, bony pain and fatigue

4. Have a lot of acne than normal

5. Feel weakness everyday

In terms of Mental Health. I…..


4 3 2 1

1. Am emotionally exhausted

2. Found myself getting agitated

3. Felt scared without any good reason

4. I feel that I lost interest, energy, desire and goals

5. Thought of unwanted/undesirable things


In terms of Social Health. I…..
4 3 2 1

1. Have received enough care provided by hospital and


department administrators

2. Am satisfied with the logistical support and


accommodations provided by the hospital

3. Feel that family members and friends have avoided


contact with me because of work

4. Become more scared to interact to people

5. Find it hard to balance my social and personal time

In terms of Economic Health. I…..


4 3 2 1

1. Observe that many sources of food and essential are


becoming more expensive

2. Notice decrease initiative healthcare initiative


resources (Healthcare programs)

3. Experience losing my job

4. Lack of safety and labor protection

5. Observe the limited supply of tools, materials and


resources that are necessary for medical healthcare
workers to produce the goods and services
In terms of Financial. I…..

4 3 2 1

1. Experience lacking of money

2. Find it hard to budget my savings

3. Most of the time my money is not enough to support


all my needs

4. My salary is not enough

5. Have a financial plan for the future, including a


budget
III. This part of the questionnaire tackles about the Quality of Life of Radiologic Technologist
after the rise of COVID-19 pandemic. Check the following box that correspond your answer.

4– Always 3- Most of the time


2 – Sometimes 1 – Never

In terms of Physical Health. I…..


4 3 2 1

1. Feel physically exhausted

2. Have a daily exercise routine

3. Often experience headache, bony pain and fatigue

4. Have a lot of acne than normal

5. Feel weakness everyday

In terms of Mental Health. I…..


4 3 2 1

1. Am emotionally exhausted

2. Found myself getting agitated

3. Felt scared without any good reason

4. I feel that I lost interest, energy, desire and goals

5. Thought of unwanted/undesirable things


In terms of Social Health. I…..
4 3 2 1

1. Have received enough care provided by hospital and


department administrators

2. Am satisfied with the logistical support and


accommodations provided by the hospital

3. Feel that family members and friends have avoided


contact with me because of work

4. Become more scared to interact to people

5. Find it hard to balance my social and personal time

In terms of Economic Health. I…..


4 3 2 1

1. Observe that many sources of food and essential are


becoming more expensive

2. Notice decrease initiative healthcare initiative


resources (Healthcare programs)

3. Experience losing my job

4. Lack of safety and labor protection

5. Observe the limited supply of tools, materials and


resources that are necessary for medical healthcare
workers to produce the goods and services

In terms of Financial. I…..


4 3 2 1

1. Experience lacking of money


2. Find it hard to budget my savings

3. Most of the time my money is not enough to support


all my needs

4. My salary is not enough

5. Have a financial plan for the future, including a


budget

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